| NPI | 1316222961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN HILL ELIOT Member 636-933-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MO 2007019466) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |